Job Description
All the benefits and perks you need for you and your family: - Benefits from Day One - Paid Days Off from Day One - Student Loan Repayment Program - Career Development - Whole Person Wellbeing Resources Mental Health Resources and Support
Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that
together we are even better.
Schedule: Full Time Shift :
Days Location: 7050 Gall Boulevard Zephyrhills, Florida 33541
The community you’ll be caring for: AdventHealth Zephyrhills · First in Florida to earn Advanced Certification for Hip Replacement and Knee Replacement (Joint Commission) · Accredited Chest Pain Center with PCI (Society of Cardiovascular Patient Care) · GWTG Gold Plus with Honor Roll Elite and Target: Type 2 Diabetes Honor Roll Achievement, 2020 (American Heart Association) · One of America's Best Hospitals for Heart Care, 2017, 2018, 2019, 2020, 2021 (Women’s Choice Award) · One of America's Best Hospitals for Stroke Centers, 2017, 2018, 2019, 2020, 2021 (Women’s Choice Award) · One of America's Best Hospitals for Orthopedics, 2017, 2018, 2019, 2020, 2021 (Women’s Choice Award) · One of America's Best Hospitals for Patient Safety, 2017, 2018, 2019, 2020 (Women’s Choice Award) · Leapfrog Hospital Safety Grade A, Spring 2018, Fall 2018, Spring 2019, Fall 2019, Spring 2020, Fall 2020 (Leapfrog) · Leapfrog Top General Hospital, Fall 2018, Fall 2019, Fall 2020 (Leapfrog) · US News & World Reports High Performing Hospital CHF & COPD (2019-2020) · America's 250 Best Hospital's Award (2021) (Healthgrades) · Life style activities and community growth · Close proximity to many of Florida’s finest beaches · An abundance of family attractions (Orlando & Tampa theme parks) · Access to arts, culture and music · Premium shopping outlets
The role you’ll contribute: The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs, funding sources and qualify for community assistance from a variety of special assistance programs and agencies, and/or require assistance with transitions of care or discharge planning. In addition, offer crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a discharge plan of care for high-risk patient populations. This role will receive referrals for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care team).
The Social Work Care Manager, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination through the continuum of care. The Social Work Care Manager ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of a transition of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The Social Work Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management. The Social Work Care Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and are core competencies of this role. The Social Work Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement. The Social Work Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. The Social Work Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based Organizations. The Social Work Care Manager adheres to departmental and system goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The value you’ll bring to the team: Psychosocial Assessment and Interventions
o Assesses patient’s and family’s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, assisting those coping with adjusting to significant life transitions
o Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs
o Serves as a resource to provide information and intervention related to treatment decisions, terminal illnesses and end-of-life issues
o Provides grief counseling and crisis intervention skills
o Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the healthcare system
o Provides de-escalation services for patient/family as appropriate
Qualifications
REQUIRED:
• Masters in Social Work (MSW)
• Minimum three (3) years experience in hospital/medical social work
EDUCATION AND EXPERIENCE PREFERRED:
• Care Management discharge planning experience
• Knowledge of state and federal guidelines pertinent to care management
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location. Create a Job Alert for Similar Jobs
About AdventHealth
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.
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Job Tags
Full time, Local area, Shift work,